How to induce labor. Stimulating labor naturally or how to induce labor at home

22.07.2019

If something does go wrong, rest assured that the doctors will do their best for you and your child. When complications arise and all plans are disrupted, it is easy to lose control of yourself, but try not to panic. The doctor will be able to explain the situation, talk about the possible consequences and ways out of it. Together, you will decide what is best for you and your child.

After mother and baby have finally reached their expected due date after 40 long weeks, regular check-ups become more frequent.

If the actual due date is a few days back from the estimated date, it shouldn't be a problem, provided both are okay.

By means of ultrasound, the doctor will periodically monitor the child's condition and life support. Only when the examination shows that the baby is too small, delaying the onset of labor is considered undesirable. In this case, the earliest possible artificial stimulation of labor is recommended. The same applies to the situation when the baby is very large and weighs more than 4500 g. And here artificial childbirth is preferable, since otherwise the baby will continue to gain weight, and spontaneous childbirth can become extremely difficult.

More than 20% of births in France are carried out with the use of stimulants (both for medical reasons and on personal request). And in fact, and in another case, a woman receives drugs that accelerate the process of labor, since childbirth can be protracted and more painful.

Indications for stimulation of labor

Here is some of them.

When labor does not come on time (41st week of amenorrhea).
When the waters have already departed, and there are no contractions for 24-48 hours.
When problems arise with the normal development of the fetus (intrauterine growth retardation).

A woman in labor can agree in advance about a due date if she lives far from the hospital or she has already had a rapid birth.

Conditions... Doctors do not often consent to stimulated labor if the woman does not have the indications listed above.

The doctor may ask you some questions before making any decision.

It is desirable that this was not the first birth and that the cervical dilatation has already occurred.

Stimulation is not carried out until 39 weeks, as there is a danger of harm to the health of the child.

If there is no indication, do not insist on stimulation of labor - trust your doctor.

The lower the stress level, the more likely you will not need stimulation of labor.

Postterm pregnancy

The end of the 9th month (41st week of amenorrhea) is the end of pregnancy.
If by this time you do not have any precursors of childbirth, you will be referred to the hospital. The child's condition will be checked there. By this time, the placenta may no longer fully perform all its functions (nutrition and oxygenation of the blood).
The doctor will prescribe an ultrasound and CTG to check the heart rate, the amount of amniotic fluid and to assess the biophysical state of the fetus according to the Maning scale. If any violations are detected, the doctor may decide to stimulate labor.
In any case, 3-5 days after the deadline that you decided with your doctor, the labor will be induced. The deadline for natural childbirth is 42 weeks of amenorrhea.

How labor is stimulated?

Once the decision has been made, it is necessary to determine the degree of maturity of the cervix. To this end, the doctor will perform a vaginal examination and determine the degree according to the Bishop system (scale from 0 to 10). The result of 6-10 points indicates that the cervix is mature: it opens (1-2 fingers wide), shortens (about 1 cm long), softens and its center falls in the middle of the vagina. The mature cervix will open quickly: labor will soon come.

If the cervix is immature, 3 cm long, toned and located in the back of the vagina, then it is not yet ready for opening - you will have to endure.

If the neck is mature enough. You will be placed in the delivery room, under the system and heart monitor, like any woman in labor. The only difference is that you will be injected with drugs that provoke contractions (oxytocin). Then the doctor punctured the fetal bladder. You must give birth during this day.

If the cervix is not mature enough... If you scored a small number of points on the Bishop system, you will need additional stimulation. It may take several days, so bring your book or player with you ... The midwife will insert a hormone-soaked tampon into your vagina. He should cause contractions with the subsequent opening of the neck, shortening it, softening, smoothing and shifting forward. After several hours of monitoring under a heart rate monitor, you can return to the ward. If after a day there are still no contractions, the doctor will examine you again to determine the degree of cervical maturity. With a sufficient degree of maturity, intravenous administration of rhodostimulating drugs and puncture of the fetal bladder can be prescribed. If the cervix is not yet ripe, after six hours you will be given a hormonal gel application.

Be patient... If you are sent to the ward awaiting the onset of contractions, use this to rest, take a shower and walk calmly. Labor may begin at night and you will need strength. It is better to wait for the contractions to begin on their own than to artificially cause them, and then, in case of failure, have a cesarean section.

When labor is stimulated, the fetus is constantly monitored.

Regular monitoring

After the expected date of delivery, the doctor, first of all, will determine the volume of amniotic fluid. Its decrease can adversely affect the blood supply to the umbilical cord and the oxygen supply to the baby. Therefore, in this state of affairs, the challenge of childbirth artificially becomes inevitable. With a normal amount of amniotic fluid, overmaturity of the child is not a problem.

If the ultrasound results say that everything is going well and there are no risks. there is no need to remove CTU The so-called oxytocin test is also an unnecessary measure. Recently, scientists have found that it does more harm than good, and is often the reason for the stimulation of induced labor.

If the pregnancy continues uncomplicated, the doctor should check the amount of amniotic fluid with an ultrasound every three days. During these examinations, the baby's heart sounds are also monitored.

After a week in excess of the calculated due date, CTG is additionally recorded. If the pregnant woman is walking for more than seven days, the doctor discusses with her the possibility of calling for labor with the help of medications.

The absence of deviations in the volume of amniotic fluid and in the cardiac activity of the child allows us to conclude that it is well supplied - under such conditions, further prolongation of pregnancy is possible, if the mother herself is not against it. But now it is advisable to monitor the child's condition, including CTG, every two days. However, the pregnancy must end no later than ”12-14 days after the calculated due date, otherwise the risks to the baby may increase significantly.

Labor cannot start, stimulation is needed

Sometimes labor doesn't start on its own. If this happens to you, your doctor may start (stimulate) labor with medication.

Situations in which labor stimulation is possible:

The baby is post-term. The gestation period is approaching 42 weeks.
The water departed (the fetal bladder burst), but labor did not begin.
An infection has developed in the uterus.
The doctor fears for the child, since growth has stopped, the child is not active enough, there is little amniotic fluid.
You have a health problem, such as high blood pressure or diabetes, that could threaten your baby.
The problem with the Rh factor is that your blood and your baby's blood are incompatible.

If you were hoping that labor would start on its own, and the doctor insists on stimulation, try to look at it in a positive way. It may be more convenient to know exactly when the child will appear than to wait for nature to take its toll. You will be able to better prepare physically and mentally before going to the hospital.

Stimulation of labor. The doctor can stimulate labor in several ways, but the cervix must soften, thin, and open. If this does not happen, the doctor can take steps to start the process.

Medicines. Medicines can be used to soften and dilate the cervix. These drugs also often induce labor, so that other stimulants, such as oxytocin, are not needed. If cervical preparation is required, you can go to the hospital the day before stimulation for the medication to take effect.

Mechanical methods. One way is to insert a thin balloon catheter filled with water through the cervix into the uterus. This irritates the uterus, and she begins to push the balloon through the cervix, softening and expanding it from 2 to 4 cm.

Rupture of membranes. In this case, the amniotic fluid that envelops the baby bursts and the fluid begins to flow out. Normally, this is a sign that the child will be born very soon. One of the results of this rupture is an increase in uterine contractions.

One way to speed up labor is to artificially rupture the membranes. In this case, the doctor inserts a long and thin plastic hook through the neck and makes a small tear in the membranes. You will feel the same as during a normal examination, and warm liquid will flow out. It is not dangerous for you or the baby.

Oxytocin - a way to stimulate labor

A common way to induce labor is with the drug oxytocin, a synthetic analogue of the hormone oxytocin. Normally, during pregnancy, the body produces a small amount of oxytocin. With active childbirth, its level increases.

Oxytocin is usually given intravenously after the cervix has thinned and dilated slightly. A catheter is inserted into a vein in the arm, and small doses of medication are regularly released into the blood using a special pump. These doses can be altered during stimulation to adjust the strength and frequency of contractions until they stabilize. If the dose is correct, you should feel a contraction in about half an hour. Contractions can be more regular and violent than natural labor.

Oxytocin is one of the most commonly used drugs. It can stimulate labor that might not have started on its own, and it can also push contractions if they slow down during labor and are not progressing. The baby's uterine contractions and heart rate are monitored to reduce the risk of complications.

If the stimulation is successful, you will feel the signs of an active, progressive labor, such as prolonged contractions that get stronger and more frequent, dilatation of the cervix and rupture of the amniotic fluid - if it has not ruptured earlier.

The reasons for stimulating labor must be serious. If your or your child's health is at risk, the doctor may decide on further intervention, a cesarean section. Stimulation can take several hours, especially during the first birth.

Oxytocin

It is a natural hormone produced by the hypothalamus, which is located in the neurohypophysis. Its function is to stimulate the muscles of the uterus at the time of delivery. It also contributes to the contraction of the mammary glands during lactation.
There is also a synthetic oxytocin, it is administered intravenously to stimulate labor. Its use must be carried out under certain conditions and strict dosage control. Continuous monitoring of the fetus allows you to see if the baby is suffering when contractions begin or intensify.
Synthetic oxytocin is sometimes given immediately after childbirth to shrink the uterus, displace the placenta, and reduce bleeding.

Artificial labor stimulation

Artificial labor induction (induction).

Most births start with spontaneous contractions and a healthy baby is born. However, during preventive examinations in the last weeks of pregnancy, it sometimes turns out that the child's life support is already far from optimal. In this case, the doctor must, after weighing all the circumstances, decide whether the pregnancy should be maintained until the onset of spontaneous labor pains, or it will be better for the mother and child if, with the help of medications, premature birth is induced artificially.

Whether early delivery is the best way out depends on

of what week of pregnancy the woman is in. If complications appear shortly before the calculated date, then labor is induced artificially, even if there is a relatively small risk. All organs of the child have already formed, and he can breathe on his own with his small lungs. If the danger to the baby arises at an earlier stage of pregnancy, the doctor will try to delay the birth of the baby as long as possible.

Grounds for artificial induction of labor

There are various reasons for invoking labor with medication.

The most common of them and far ahead of all others in frequency is oxygen starvation of the child, for example, due to placental insufficiency.
If preventive examinations, such as ultrasound, CTG or Doppler sonography, indicate a threat to the further successful development of the child, then premature birth gives him a great chance to be born healthy.
In some cases, the child reaches a very large size even before the 38th week. If the observed developmental process gives grounds to conclude that over the remaining two weeks the baby's weight will still increase significantly, calling for premature birth with the consent of the expectant mother may be very appropriate. This solution reliably guarantees that the baby is born healthy and without major complications.
In case of premature rupture of the membranes and the absence of contractions, stimulation of labor activity with medication helps to avoid the risk of infection of the child.
Gemini themselves are often born earlier than expected. In case of insufficient supply of one or both of them, labor is induced ahead of schedule.
If the baby is sick and cannot be treated in the womb, a premature delivery will improve his health. First of all, this applies to children suffering from severe anemia.
Maternal diseases such as pregnancy hypertension or diabetes may also require early induction of labor.
If the expectant mother suffers greatly from various physical and mental disorders, it is possible to artificially induce premature birth when the child has finished maturing, that is, after the 37th week of pregnancy. The reason for making such a decision may be, for example, severe back pain, severe sleep disturbances or intense physical activity.

Labor is stimulated either by prostaglandins or by the administration of oxytocin.

Methods of artificial induction of labor

Which method of artificial stimulation of labor will be chosen by the doctor depends on the well-being of the fetus and the state of the cervix. If the child is already under threat, and the uterine pharynx is still closed, childbirth most often occurs by caesarean section.

Stimulation of labor by the introduction of oxytocin is performed provided that the uterine pharynx is already sufficiently soft and slightly open. This means that the uterus is ready for the onset of contractions. The advantage of this method: stimulation does not last long, and you can fairly accurately calculate how long it will take to give birth. With the beginning of the introduction of oxytocin, the child's heart contractions are continuously monitored with CTG; for this, a portable cardiotographer is usually used.
In the case of immature uterine pharynx, prostaglandins are used to induce labor. A pregnant woman does not receive these medicines in the form of injections. They are used locally in the form of a gel, pessaries or tablets, which must be absorbed in the area of the uterine pharynx. Under the influence of prostaglandins, the uterine pharynx softens and begins to open. Contractions usually come in two to three hours. If there are no contractions, then after six hours the procedure is repeated.

With this method of stimulation, constant monitoring of the child through CTG is not required. It is quite enough to remove CTG every two hours, starting from the moment the contractions appear.

Stimulation with prostaglandins should always be carried out in a hospital setting, since it is rather difficult to predict when the contractions will begin. When the uterine pharynx is mature, the further labor process can be supported by the administration of oxytocin. If, after two days, there are still no contractions, you should consider whether it is advisable to try again or whether it is better to take a break. Sometimes a caesarean section may be required in this situation - especially if it turns out that your child's health is at stake.

Stimulation of labor with misoprostol. This drug was originally approved only for the treatment of stomach tumors. But for 20 years now, in some countries, it has been recommended for stimulating childbirth, although, in fact, it has not received the appropriate admission.

Misoprostol has almost no side effects and has the advantage that it can be taken as a pill. Before starting stimulation, the doctor should inform you in detail about the effect of this medicine - be sure to ask again if you do not understand anything!

Alternative ways to induce labor

Artificial opening of the fetal bladder

When the fetal bladder opens and amniotic fluid begins to flow, their volume in the uterus decreases. As a result, contractions often occur, from which labor pains develop. But this method can only be recommended for multiparous and only if the cervix is dilated.

Sexual intercourse

Regular intercourse at the end of pregnancy reduces the likelihood that you will have to postpone your baby. Sex is thought to have a twofold effect: firstly, it promotes the production of the contraction hormone oxytocin, and secondly, semen contains prostaglandins, which also cause contractions. However, the amount of prostaglandins in a single ejaculation is very small - significantly less than the dose used for drug induction of labor.

Separation of the ovum

Even before artificial induction of labor through medication became widespread, the best way to induce spontaneous contractions was considered to be the separation of the ovum in the lower pole. Such an operation can be performed only after the onset of the 40th week of pregnancy and provided that the cervix is already slightly open. In this case, the obstetrician penetrates it with his finger. With rotating movements, he massages the internal uterine pharynx and carefully separates the membranes from the uterine wall. The use of this method requires extreme caution, since the manipulation, which is very painful in itself, can also cause bleeding. Therefore, you should think carefully before embarking on it at all.

Nipple stimulation

When the nipples are stimulated, the hormone oxytocin is released, which causes contractions. But the action of the hormone is manifested only in the case of maturation of the uterine pharynx. Studies have shown that the effect is so insignificant that it is not worth resorting to this method at all.

Exercise stress

Excessive physical exertion, such as climbing stairs, leads to a more intense redistribution of blood supply (blood from the placenta rushes to the muscles) and in some cases provokes the onset of contractions. However, this method hardly deserves a recommendation. A leisurely movement, such as a short walk, is much more enjoyable in the initial phase of labor. It is better not to resort to physical activity that requires high energy costs - you need to save your strength for the upcoming birth.

Additional therapeutic measures

Some women enjoy additional treatments such as preparatory acupuncture or reflex zone massage. Unfortunately, however, it cannot be said that this is a reliable way to induce contractions.

The use of herbs that stimulate contractions

Sometimes a decoction of cinnamon, ginger and cloves is prepared and used to soak tampons. With an immature uterine pharynx, such actions lead to prolonged contractions of the uterus, which can result in oxygen starvation of the child. Therefore, we will not recommend this method. However, the herbs listed above can be used as aromatic oils for an aroma lamp or mixed with almond oil for massage purposes. If you apply this mixture to the abdominal wall and massage the uterus from the top end, it will help your baby finally hit the road.

Stimulating bath

A contraction-stimulating bath can make you feel better. To do this, add four drops of essential oil, such as oil of clove, cinnamon leaves or ginger root, to 250 ml of cream, stir and pour into a filled bath. The water temperature should not exceed 37 ° C.

Castor oil

Castor oil, which is used in the industry in the manufacture of varnishes and dispersion paints, is also used in the production of cosmetics.

If taken internally, this oil will cause intestinal upset, which in turn will lead to contractions. Contractions provoked in this way with an immature uterine pharynx do not bode well. They will not become the beginning of labor, but will manifest themselves only in prolonged contractions of the uterus, which negatively affect the oxygen supply of the fetus. Therefore, an attempt to stimulate labor in the absence of monitoring the child through CTG can be very dangerous for him.

Nausea, diarrhea, and bowel cramps are common side effects.

Among other things, the taste of castor oil is so unpleasant that it is usually taken with wine or vodka, and on top of that, the child has to contend with the negative effects of alcohol.

To summarize, we can say that this method is unacceptable.

Onset of labor with artificial stimulation

Doctors have several methods of stimulating labor. What your doctor chooses will depend on various reasons, such as the readiness of the cervix and the health of the baby.

Separation of membranes

The doctor will examine the cervix and use a finger to separate the amniotic sac from the walls of the uterus. For many women, after this, water leaves and cramps begin. After the membrane is removed, prostaglandin is released and contractions begin. This method is only suitable for you if the cervix is open.

Preparation of the cervix

Before you induce labor, your doctor may use what is known as the Bishop Scale to find out if your cervix is ready for labor. The doctor will examine the cervix to see how much it has opened and smoothed out and whether the baby has dropped into the pelvic area. Studies show that induced labor is more effective if the cervix is open, so if your cervix is not ready for this, your doctor may use certain substances to speed up the process, such as suppositories with prostaglandin E, a gel containing prostaglandin, prostaglandin on a special device or prostaglandin tablets. Some women who use these products begin to give birth within 24 hours without any further intervention. Other drugs that help open the cervix are kelp (algae sticks that absorb water from the cervix, causing it to open) or a catheter flask (which is inserted into the uterus and gradually dilates the cervix).

Amniotic bladder puncture

The doctor may use a gynecological instrument, similar to a crochet hook, to poke a small hole in the amniotic sac. (This is called an amniotomy.) The procedure mimics what sometimes happens on its own when water drains before labor begins. It can be frustrating if the cervix is less than a centimeter open, but other times it doesn't hurt at all. If the contractions do not start within 24 hours after the water is withdrawn, the doctor will most likely stimulate labor with pitocin or other means to reduce the risk of infection.

Dropper with pitocin

Pitocin is a synthetic form of oxytocin, a contraction-inducing hormone. Most pregnant women start labor in part because of high levels of oxytocin in their blood; your doctor wants to simulate this process with Pitocin.

If labor is caused by this drug, you will be admitted to the hospital where a IV needle will be inserted into your arm. Pitocin usually takes about 30 minutes to take effect, so your doctor will likely take your time and monitor your and your child's reactions to the drug. There is no guarantee that childbirth will take place quickly with Pitocin; contractions can be violent, and each contraction can last 1 minute or longer. Many women have said that breathing exercises help with this kind of childbirth. Stimulating labor is a long process and if this is your first baby, you may need several treatments. For example, recently, the uterus is often prepared and only after that Pitocin is injected. Ask your doctor what procedures will be done for you, and be prepared to wait patiently.

My midwife wants to stimulate labor. What is the reason for this?

Stimulation of labor

There are many reasons why you need to stimulate an early birth. In some cases, a caesarean section is practiced. A priori, the child and the mother can perfectly tolerate childbirth and, if the obstetrician-gynecologist believes that the birth will take place naturally, no stimulation is required. But sometimes there are reasons for the stimulation of labor.

The fetus has stopped developing: it receives little nutrition. Examination shows that the placenta is not fully functional and the uterus is no longer a healthy defense for the baby.
The due date for childbirth has passed, the amount of amniotic fluid is reduced, the baby is moving less.
The time has come, the fetal bladder is ruptured, the amniotic fluid is colored.
The expectant mother has diabetes, she is being treated with insulin. All the prerequisites are that when the time comes, the child will be too big.
The mother suffers from preeclampsia. She is not helped by either complete rest or medication, her life and / or the life of a child is in danger.
The baby (Rh positive) is anemic because the mother (Rh negative) produces antibodies against the red blood cells.
The obstetrician-gynecologist is afraid that the mother will enter the hospital too late due to the distance of residence or too rapid previous births.

Doctors have been studying the technology of labor stimulation and its influence on the body of mother and child for a whole century. What is labor stimulation? Medication rhodostimulation is one of the controversial procedures suspected of all sins. Who needs it and why, except for doctors who supposedly want to finish labor as soon as possible? Stimulation of labor - why is it needed? Stimulation of labor is needed when labor is weak, when labor has already begun, there are contractions, but they are weak, the cervix opens slowly. Arousal is an artificial induction childbirth at various stages of pregnancy. Stimulation childbirth performed mechanically (Foley catheter) or using intravaginal hormonal gel.

Stimulation of labor- This is the artificial induction of labor at various stages of pregnancy and the activation of labor activity already during childbirth. First of all, we note urgent childbirth (childbirth on time) occur in the period from 37 to 42 weeks. And with normal flowing childbirthstimulationchildbirth not required.

It was laid down by nature to childbirth began at 39-40 weeks of gestation. But sometimes it happens that childbirth are late ... After 40 weeks, the doctors insistently suggest that Mom go to the hospital for an artificial stimulationchildbirth.

Stimulation of labor is used only as a last resort, when the child or his mother is in danger. Also, if you "walk" the due date, and labor still does not start, doctors may offer you stimulation. From some of the reasons leading to "overdue", and hence to stimulation, you can get rid of yourself, without resorting to the help of doctors. For example, fear of childbirth, as well as the use of drugs, including painkillers, can lead to artificial stimulation.

All stimulation methods can be divided into two types, which stimulate the ability of the uterus to contract, and which accelerate the process of cervical dilatation. Stimulationchildbirth is a fairly common procedure in modern maternity hospitals. Sometimes at a normal start generic activity, weakening or complete attenuation of contractions is noted. And with normal flowing childbirthstimulationchildbirth not required. Medication stimulationchildbirth At home, stimulation of labor (in the absence of an experienced obstetrician-gynecologist nearby) is contraindicated.

Amniotomy- opening the fetal bladder, is one of the most popular means that affect the active contraction of the uterus. The essence of this method of stimulation lies in the fact that the doctor, with a special instrument, similar to a hook, pierces the fetal bladder, after which the water leaves. After that, the pressure inside the uterus drops sharply, the child begins to press on the pelvic bones, the cervix opens and provokes childbirth. This method is considered safe and does not in any way affect the child's condition. In addition, amniotomy is an absolutely painless procedure, and only in rare cases it can be unpleasant. It is worth considering that for medical reasons, this stimulation can be used only after the child's head enters the small pelvis. Otherwise, you may need a contraction-stimulating drug. Now, for these purposes, Oxytocin is used in medicine.

Oxytocin Is an analogue of a hormone produced by the pituitary gland. The action of this drug is aimed at stimulating the contractions of the muscle tissues of the uterus, but does not in any way affect the readiness, for disclosure, of the cervix. It is mainly administered intravenously, although there are solutions for intramuscular injections, and even tablets. When exposed to oxytocin, labor pain increases, so it is used together with antispasmodics. For each woman, the doses are selected individually. The action of oxytocin is based on its ability stimulate contraction of the muscle fibers of the uterus.

Prostaglandins- hormones that affect the readiness of the cervix to open. These hormones are found in large quantities in semen and amniotic fluid. For artificial stimulation, prostaglandin suppositories and gels are used, their action is also aimed at stimulating uterine contractions.

The decision on the need for stimulation is made by the doctor, taking into account the conditions of the pregnancy.

The 40th week is approaching, but labor does not start in any way, or maybe they do not want to continue, what to do? Whether it is worth resorting to arousal or stimulation of labor. How does this happen and what are the consequences for the child?

When the due date of birth is approaching, doctors conduct studies (ultrasound, cardiotocography, etc.), according to the results, they determine whether there is a prolonged pregnancy or not?

The doctor looks at such signs: a decrease in the thickness of the placenta, a relative lack of water, a thickening of the bones of the skull. In such cases, it is recommended to carry out labor induction. Labor induction is done not only with prolongation, but also with gestosis, fetoplacental insufficiency. And only after all these studies is it concluded that necessary whether to cause an artificial stimulationchildbirth.

So what are the ways stimulationchildbirth do doctors have in their arsenal? To stimulate labor, doctors use:

amniotomy - artificial rupture of the fetal bladder. A puncture is made in the fetal bladder with an instrument that looks like a hook. This procedure is almost painless, since the fetal bladder has no nerve endings, the painlessness of the procedure depends on the professionalism of the doctor who performs the amniotomy. As a result of amniotomy, amniotic fluid begins to drain, after 2-3 hours the process of childbirth starts
The use of a special gel that includes prostaglandins. The obstetrician inserts it into the cervical canal. Prostaglandins contribute to the fact that the cervix "ripens" faster, these hormones stimulate the process of uterine contraction. The procedure is painless, the procedure takes no more than 5 minutes. Labor begins 9-10 hours after the procedure.

Medication stimulationchildbirth carried out strictly according to indications, in the presence of a threat to the life of the fetus or mother.

Stimulation of labor - why is it needed?

Stimulation of labor is needed when labor is weak, when labor has already begun, there are contractions, but they are weak, the cervix opens slowly.

12 hours is the time spent by those who give birth for the first time; in the second - 8 hours. If childbirth is delayed, the child may suffer, then they resort to stimulation.

The main drugs used to induce labor are prostaglandins and oxytocin.
Prostaglandins are used when the weakness of labor is observed when the cervix is dilated up to 4 cm. Oxytocin is used at the stage of uterine dilatation from 5 cm to 10-12 cm, during the period of attempts. Prostaglandins and oxytocin are given intravenously. Oxytocin begins to act, pain intensifies, it should be used in combination with antispasmodics (drugs that relax the muscles of the uterus). There are no standard regimens for the use of oxytocin, different women respond to the same dose in different ways, the doses must be selected individually.

Note that the child's condition should be assessed more often than usual (in period 2 after each attempt) using cardiotocography or a conventional obstetric tube.

Within 4-6 hours after the introduction of stimulating substances, doctors assess whether there is any benefit from the drugs, but if not, then they consider the option of a cesarean section.

In some cases, doctors do not use stimulants, but sedatives, which are required in cases where a woman is physically tired from prolonged contractions. There is still a period of pushing ahead, when a woman is pushing to give birth to a child. In such situations, doctors inject a woman with sedatives so that she can rest a little, gain strength before the upcoming attempts.

Is labor stimulation necessary?

Stimulation of labor is an emergency option of obstetrics, it is necessary that the woman gives birth herself and does not require serious medical intervention. The expectant mother needs to know how to act correctly during childbirth, how to breathe during contractions and attempts. It is advisable that the expectant mother is trained in a school for pregnant women and knows what childbirth is. Then it is likely that she will not need stimulation.

It is better for the baby if the birth takes place without stimulation. When labor is natural and does not accelerate, the baby experiences less stress when passing through the birth canal. With childbirth stimulation, a child may experience hypoxia - a lack of oxygen, which is very bad for the baby.

Contractions may not occur, the cervix may not "mature", and these stimulation agents are guaranteed to provide hypoxia to the child. The child's brain suffers from hypoxia, but how severe the damage is - is visible only after birth. The consequences can be disturbances in the activity of the central nervous system: regurgitation, delayed speech development, autism syndrome, ADHD, cerebral palsy, visual impairment, hearing impairment, epileptic syndrome

Children who are born as a result of labor stimulation have a yellowish skin color. This is neonatal jaundice that resolves within 2–3 weeks. The reason for the appearance of jaundice is an increase in the substance of bilirubin in the blood, which enters into a chemical reaction with oxytocin.

Labor induction points

Stimulation, or stimulationchildbirth at home Is a procedure that provokes contractions (contractions of the uterus) during pregnancy, but before the natural onset of labor.

Stimulate the point between the thumb and forefinger, the point at the height of 4 fingers from the ankle, and the point at the corner of the little toe on the foot. Each point is 20 seconds long, a 2 minute break, and so on 3 times.

Methods for approaching childbirth with folk remedies at home:

If the due date set by the doctors is behind, and labor has not started yet, you can try the following actions.

Take 3 times a day 1 tablespoon of vegetable oil: it contains semi-saturated fatty acids, which contribute to the production of its own prostaglandins in the body. These substances help prepare the cervix for the upcoming process and trigger the birth mechanism.
Drink any vegetable oils (olive, flaxseed, wheat germ, etc.) that are rich in vitamin E and omega 3 and 6 acids. Start with 1 tablespoon and work up to 3 tablespoons per day. It is better to drink it on an empty stomach, but you can also drink it in salads and with bread. The oil helps tissues and muscles to be elastic, prevents tears.
We must drink tea from raspberry leaves. Brew 1 tbsp per 0.5 l. Start drinking no earlier than 36 weeks, because can provoke childbirth. Start drinking 1 glass a day, from 38 weeks to 2 glasses, from 39 weeks to 3 glasses. Drink instead of tea and always drink warm or hot.
Have sex: during intercourse, the nerve cells of the cervix are irritated, a signal is sent to the pituitary gland, which "gives the command" for the body to produce oxytocin, a hormone that starts labor. Manual or oral stimulation the clitoris, even without an orgasm, can also be effective to begin with childbirth... The semen contains prostaglandins, which cause the uterus to contract.
Increase your physical activity, such as walking up stairs, cleaning floors, all of which help to bring labor closer. Excessive exertion must be avoided, otherwise it can lead to placental abruption.

Remember that giving birth at home and stimulating labor is undesirable if you want to give birth to a healthy baby.

All women are looking forward to the onset of childbirth. But what to do when forty weeks are over and there are still no contractions? From that moment on, the pregnant woman begins to worry, because the contractions did not start on the day appointed by the doctor. But don't sound the alarm right away. After all, doctors are people too and they tend to make mistakes. And in order not to spoil your nervous system, you must first acquire information about how you can cause contractions at home and how it is done in the hospital.

Is there a need to speed up labor?

Probably there is not a single pregnant woman who has forgotten the date of the approximate birth. But it is also worth remembering that labor can start earlier or later than the expected date. From 38 to 42 weeks. If the baby is born during this period, then it will be considered fully term. Therefore, it may not be worth interfering with natural processes unnecessarily. If there are no complaints about well-being, then it may not be worth taking any measures to start the contractions. But in order to be completely sure of this, it is imperative to be examined in a hospital. For example, in order to find out how the baby is feeling, in most cases, after 38 weeks, doctors do CTG. If there is even the slightest suspicion that something is wrong with the child, then the attending physician may prescribe an unscheduled ultrasound scan. In most cases, women over 40 weeks do not want to start labor with drugs. Then they start looking for ways to stimulate labor without leaving home. There are several proven and highly successful home stimulation methods.

Walking... This method has always been very useful for a pregnant woman. In addition, it is quite safe, and the increased activity of the mother can accelerate the onset of labor.
Sex... Probably few people know that there are prostaglandins in male sperm. In a hospital, these substances can be administered to a woman for stimulation in the form of drugs. They help to soften the cervix and cause contractions. Plus, orgasm also causes strong contractions of the uterus. Therefore, sex is not only a safe but also a pleasant way of stimulation.
Warm bath... This method is contraindicated for those women who have a high blood pressure. In addition, you need to be very careful, because if the water is too hot, it can cause unforeseen complications during childbirth.
Food... If the other methods seemed very dangerous to you, then you can try to eat more food rich in fiber. Thus, the intestines will work more actively and thereby force the uterus to contract.
Aromatherapy... This method cannot be called very effective, but there are still cases when odors contributed to the onset of labor. But do not forget that essential oils can cause allergies.

Stimulating contractions with medicines in the maternity hospital

If you are afraid to start stimulating yourself, then it's okay. This can be done in a hospital with a variety of medications. They are selected very carefully. Indeed, in this case, it is necessary to take into account the individual characteristics of the pregnant woman, because the body simply may not accept some of them.

Whichever method of stimulation you choose, do not worry. After all, the baby will still be born exactly when he is completely ready. Therefore, despite the strong desire to give birth as quickly as possible, probably until the last one should not interfere with pregnancy.

Is 40 weeks a lot or a little? It depends on who you ask. If you ask a pregnant woman about this before giving birth, then in response you can hear that it is almost an eternity. The last weeks are especially long.

And now, the long-awaited day, on which the doctors predicted childbirth. And the contractions don't start. But the woman begins to worry, worry about her health and the health of the baby. Added to all this is the question: is it really not all? Really, wait again?

But you really want to breathe deeply, lie on your stomach, take your child in your arms. So there are thoughts on how to speed up labor?

Before talking about the acceleration of childbirth, it is worth figuring out when, in fact, a woman should give birth. PDD - the preliminary date of birth - every expectant mother knows from the first visit to the antenatal clinic. This date, however, then may change several times, especially after the next ultrasound, which shows the degree of development of the fetus. Nevertheless, pregnant women are usually guided by PDD.

However, in fact, she can give birth at any time, from week 38 to week 42... It is during this period of time that they talk about normal, full-term childbirth. However, the reproductive system of women is very individual, and, by and large, other terms are possible. Much depends on a woman's menstrual cycle. So, having a cycle of 28 days long, a woman is likely to give birth close to the PDD, and if her cycle is 30 or more days, then at 42 weeks her pregnancy may be normal and not have any signs of post-term.

Do I need to speed up labor?

How to speed up the onset of labor? Is it worth doing? From the previous section, it is easy to understand that the norm has a lot of options, and is it worth interfering with the normal course of pregnancy and childbirth?

It all depends on whether we are really talking about the normal course of pregnancy, or there is still a reason to be concerned about your condition and the condition of the child. Therefore, it is very important to consult with your doctor first and make sure everything is in order.

What do you need to know before you induce labor?

To be sure that the mother and baby are in good health, some research needs to be done. In particular, a woman after 38 weeks needs to undergo CTG at least once a week, which will help to adequately assess the condition of the fetus. As additional information, you can undergo an ultrasound examination.

This will make it possible to assess not only the fetus, although it too, but also the degree of maturation of the placenta, the state of the amniotic fluid and the uterus itself. Based on these data, it is worth drawing conclusions about the need to speed up labor.

Another small detail: if you are going to induce labor, try to get enough sleep before that. Childbirth is a tedious process.

How to speed up labor at home?

How to speed up childbirth at home at 38-40 weeks is not worth talking, during this period such actions, indeed, do not make sense. There is still time ahead calmly and without nerves to wait for the natural appearance of your baby.

Usually, the question of how to induce childbirth, women ask themselves at 40-41 weeks, when they were already frightened by artificial stimulation and the introduction of various drugs. In this case, I really want the birth to begin on its own. So how to induce labor at home?

The most natural way is walking... Walking in the fresh air is useful at any time, and even at the end of pregnancy it is especially important.

As soon as possible to induce labor? A very good way is sex... Especially if it ends with an orgasm. Sex is a holistic approach to the natural stimulation of labor. First, there are prostaglandins in male sperm. It is these substances that contain some drugs that induce childbirth.

Secondly, active stimulation of the breasts and nipples stimulates the production of another substance that stimulates labor activity - oxytocin. And thirdly, orgasm inevitably causes contraction of the uterus, which in turn can develop into contractions. Not the least role is played by the physical and psychological relaxation achieved by a woman during sex.

How to induce labor yourself? Ideal for this physical exercise... This is where the old proven method comes in handy: mopping the floors, preferably by hand, rather than with a mop. In general, if there is a desire to speed up labor, then it makes sense to do what doctors have recently forbidden to do.

Of course, without fanaticism: but light exercise, a warm bath, moderate weight lifting, for example, an older child or bags of groceries - all this will help to speed up the date of birth.

The question of how to speed up the onset of labor is answered by ethnoscience... For example, it is believed that this process is facilitated by increased intestinal motility. Therefore, many recommend drinking a tablespoon of castor oil. As you know, this is a rather strong laxative, so that the method allows you to achieve 2 goals at once: to speed up labor, and to cleanse the intestines before them, which means that you can avoid such a procedure as an enema.

You can act more humanely towards yourself. If you eat food rich in fiber in the last weeks before childbirth, and these are cereals, vegetables and fruits, then there is a chance to give birth 1-2 days earlier.

They say that smells also have the ability to stimulate childbirth. How to induce labor yourself with aromatherapy? You will need an aroma lamp and rose or jasmine oils. Water is poured into the lamp, into a special recess, and 2-3 drops of oil are dripped, and then a burning candle is placed under the recess. Inhalation of the vapors of these oils promotes the onset of labor. However, keep in mind that you may have an increased sensitivity to one of these oils.

Acupuncture- another answer to the question of how to speed up the approach of labor. Acupuncture is the teaching that every organ, every system, every process in the human body is associated with one point or another on his skin. Accordingly, if you find a point on the body associated with the uterus, and begin to stimulate it with a thin needle, then labor can be provoked. However, you should not do acupuncture on your own, it is better to find a good master and entrust your body to him.

How to induce labor naturally is up to you. The main thing that needs to be done in any case is to consult with your doctor before deciding on any method of natural stimulation. It is possible that a method that works successfully for other women will simply not give a result in your case, or cause a lot of side effects.

How is childbirth triggered in a maternity hospital?

And now, all conceivable and inconceivable terms have passed, or CTG and ultrasound are unequivocally hinting that it is no longer worthwhile for the baby to remain in the mother's tummy, and nothing works with natural stimulation - this also happens. What will happen in this case? In general, nothing terrible will happen either. You will simply be stimulated.

How is childbirth triggered in a maternity hospital? There are a number of tools and methods for this. In different situations and for different indications, doctors choose certain methods of stimulation. These can be injections or pills that induce childbirth, opening the membranes, administration of oxytocin or prostaglandins. Each of these methods has its own advantages, risks and contraindications. Below the video you will find a link to a detailed article on stimulating labor in the hospital.

The main thing that a woman should remember is that no one has ever gone pregnant before her all his life. Sooner or later, the child will be born and will delight his mother. In the meantime, if you have not noticed any pathologies and abnormalities, enjoy the last weeks of rest. Believe me, after giving birth, your life will change very much, there will be a lot of troubles and worries. So it won't hurt anyone to rest for a couple of days.

I like!

Pregnancy is the most emotional period in the life of every woman, and the closer the due date, the more worried and worried about the expectant mother. The 40th week of pregnancy is coming, my mother is looking forward to the long-awaited contractions, but they still do not start. The last days of gestation drag on for a long time, and the baby still does not want to get out into the big world.

When the day that the doctors suggested giving birth passes, Mom becomes really anxious. Is everything all right with the baby? How long to wait for his birth? Can contractions be triggered on my own? Every pregnant woman wants to get rid of a heavy burden as soon as possible, to squeeze her beloved baby to her chest. There are several fairly effective ways to speed up labor at 40 weeks of gestation, the only question is whether it is necessary.

When should you give birth?

Pregnancy ideally lasts exactly forty weeks, or ten lunar months, but the baby may be born early, or it may stay in the womb. It is not considered a deviation from the norm if the baby decides to get out of the abdomen already at 38 or only at 42 weeks. In the first case, the baby is fully formed, continues to grow and gain weight, and in the second case, he does not yet show signs of postmaturity.

A woman's body manifests itself in a very individual way, but you can roughly calculate how long the pregnancy will last by the duration of her menstrual cycle. If menstruation is repeated after 28 days, then the child will most likely be born exactly at the time specified by the doctors, but if the menstrual cycle takes more than 30 days, then the bearing will be long.

If for some reason the baby is born earlier than 38 weeks, he is considered premature and must be nursed in the postpartum department. And if a baby is born later than 42 weeks, all the signs of postmaturity are noticeable, which also does not have a very good effect on his health.

The doctor informs the expectant mother of the preliminary date of birth at the first appointment at the antenatal clinic, and a more accurate date is determined during the examination with an ultrasound machine, when the doctor observes the degree of development of the embryo. At 40 weeks of gestation, if there are no pathologies or complications, childbirth takes place in a natural form. But under certain conditions, the doctor may prescribe a cesarean section.

Is it really necessary to stimulate labor?

Whether it is worth stimulating labor at 40 weeks of gestation, only the doctor can say after the examination. If the baby in the womb grows and develops normally, there is enough space for him, the mother need not worry, waiting for the natural birth process. In this case, it is best not to interfere during pregnancy.

But if the baby is large, he may not have enough oxygen from the aging placenta. A post-term infant who does not want to get out of their abdomen experiences oxygen starvation. In addition, after the 40th week of pregnancy, the bones of the skull begin to harden in the fetus, which means that it will be very difficult for him to move along the birth canal, and the mother will experience severe torment during childbirth. In this situation, in order not to wait for a referral for a cesarean section, the pregnant woman is advised to induce labor.

How to induce labor at home?

Already at 39 weeks, doctors begin to scare a pregnant woman by artificially stimulating labor with the use of medications. Not a single mom wants to poison herself or an unborn baby with drugs, so many people think about how to cause contractions at home. There are many ways to independently induce contractions and childbirth, the doctor can tell in detail about them in the antenatal clinic. Women who are determined to give birth should have a good rest and sleep, because childbirth is a long and tiring process.

Hiking. Brisk walking in the fresh air is useful at any period of gestation: it increases the tone of the body and gives it a good shake-up that brings childbirth closer.
Physical exercise. Many women admit that they started having labor as soon as they finished cleaning the house. The main thing is not to overwork, so as not to provoke placenta detachment instead of childbirth. You can wash floors, dust off furniture, take out the trash, bathe an older child in the bathtub, wash clothes, but you cannot carry heavy buckets, lift loaded boxes and bags with groceries.
Sex. A natural and very effective way to speed up childbirth at home, especially if the intimate process ends with orgasm. Sperm in high concentration contain the hormone prostaglandin, which promotes softening of the tissues of the uterus, and orgasm causes its active contraction, which can smoothly develop into labor pains.
Breast massage. Intensive stimulation of the breasts in the area around the nipples triggers the production of the hormone oxytocin, which is responsible for the onset of labor.
Laxatives. Increased peristalsis of the intestinal tract not only helps to speed up labor, but also cleanses the body, which most likely allows you to avoid loose stools during labor. A good laxative for pregnant women is plain castor oil, one tablespoon is enough to induce contractions. Also, in the last days of gestation, it is advisable to eat more fresh fruits and vegetables, cereals.
Folk remedies. Strong tea from raspberry leaves activates labor activity, softens the tissues of the cervix, but it should not be taken until the 40th week of pregnancy. This is a very powerful remedy that can cause early miscarriage. A thoroughly whipped mixture of soda, apricot, almonds and castor oil also helps to stimulate labor quickly.
Linseed oil. The components contained in it make the tissues of the uterus and birth canal soft and elastic, preparing them for the upcoming birth. If you have an allergic reaction to flaxseed oil, you can substitute primrose oil for it.
Fragrances. It is believed that the scent of certain flowers, especially rose or jasmine, can trigger contractions. A woman who wants to give birth at a later date can be treated with aroma therapy using flower oils at home. The main thing is not to cause allergies.
Acupuncture. It is better to entrust this method of stimulating labor to a specialist. The master, with the help of the finest needles, acts on the points of the body that are responsible for the functioning of the uterus. This technique often contributes to the occurrence of contractions.